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Questions 148

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Question 1 of 5

A client diagnosed with lung cancer asks the nurse what the term MO refers to. The nurse says that MO means

Correct Answer: A

Rationale: In cancer staging, M0 indicates no distant metastasis, per TNM classification.

Question 2 of 5

Which of the following statements reflects Kohlberg's theory of the moral development of the preschool-age child?

Correct Answer: D

Rationale: Kohlberg's preconventional stage for preschoolers involves moral decisions based on consequences, such as avoiding punishment or gaining rewards.

Question 3 of 5

A client with Graves' disease is brought to the ER with a suspected thyroid storm. The nurse expects to see what signs and symptoms?

Correct Answer: E

Rationale: Thyroid storm presents with fever, tachycardia, agitation, and sweating. None of the options fully match, but A (irregular heartbeat, vomiting) is closest, though seizures and jaundice are less typical.

Question 4 of 5

An 88-year-old client fractured a hip after a fall in her home. Because of her peripheral vascular disease and asthma, surgery is not an option. The client tells the nurse she does not know how she is going to get better. Which response by the nurse is best?

Correct Answer: C

Rationale: This response encourages the client to express her concerns, allowing the nurse to address specific fears and provide tailored support.

Question 5 of 5

The physician has ordered a lumbar puncture for a client with suspected Guillain-Barre syndrome. The spinal fluid of a client with Guillain-Barre syndrome typically shows:

Correct Answer: B

Rationale: Guillain-Barre syndrome typically shows elevated protein levels in cerebrospinal fluid with a normal cell count, known as albuminocytologic dissociation.

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